RELEASE AND WAIVER
I have read this entire form. By submitting this form, I acknowledge that The Ryan Bartel Foundation (Foundation) is a charitable organization under Virginia law and that I (or a parent/guardian acknowledges for children under 18 years) am a beneficiary of this Foundation program. I hereby release and discharge The Ryan Bartel Foundation and its directors, officers, employees, affiliates, members, agents, volunteers and representatives, of and from any and all liability for any claims, demands, losses or damages incurred by me or by my child in connection with any aspect of this Foundation program. I also agree to indemnify the Foundation and its directors, officers, employees, affiliates, members, agents, volunteers and representatives and hold them harmless against any claims for injuries to self or others caused by my (or my child’s) actions while participating in this program.
Permission Form
(Must be read and acknowledged by a Parent or Guardian)
Limited Space:
There is limited availability due to the nature of the group, please be sure your teen plans to attend all six workshops in the series. If they need to miss a session please notify the program manager at 571-207-5185.
Participation and Benefits:
The sessions are highly interactive and require the participation and consideration of others.
Confidentiality and Limitations:
Your child’s privacy is important to us. We remind all participants that personal stories shared should remain with the group but there is always a potential risk that confidentiality could be compromised.
Safety Protocols:
If mental health concerns arise, the Ryan Bartel Foundation Staff will contact a parent or guardian. At least two adults will facilitate the workshops.
